Healthcare Provider Details

I. General information

NPI: 1922608280
Provider Name (Legal Business Name): PRECISION MEDICINE AND WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 E COLONIAL DR
ORLANDO FL
32803-5245
US

IV. Provider business mailing address

3901 E COLONIAL DR
ORLANDO FL
32803-5245
US

V. Phone/Fax

Practice location:
  • Phone: 407-898-4427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State

VIII. Authorized Official

Name: MS. NAOMI LOIS ADAMS
Title or Position: CEO
Credential:
Phone: 407-898-4427